TY - JOUR
T1 - Effective referral of low-income women at risk for hereditary breast and ovarian cancer to genetic counseling
T2 - A randomized delayed intervention control trial
AU - Pasick, Rena J.
AU - Joseph, Galen
AU - Stewart, Susan L
AU - Kaplan, Celia
AU - Lee, Robin
AU - Luce, Judith
AU - Davis, Sharon
AU - Marquez, Titas
AU - Nguyen, Tung
AU - Guerra, Claudia
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Objectives. To determine the effectiveness of a statewide telephone service in identifying low-income women at risk for hereditary breast and ovarian cancer and referring them to free genetic counseling. Methods. From June 2010 through August 2011, eligible callers to California's toll-free breast and cervical cancer telephone service were screened for their family histories of breast and ovarian cancer. High-risk women were identified and called for a baseline survey and randomization to an immediate offer of genetic counseling or a mailed brochure on how to obtain counseling. Clinic records were used to assess receipt of genetic counseling after 2 months. Results. Among 1212 eligible callers, 709 (58.5%) agreed to answer family history questions; 102 (14%) were at high risk (25% Hispanic, 46% White, 10% Black, 16% Asian, 3% of other racial/ethnic backgrounds). Of the high-risk women offered an immediate appointment, 39%received counseling during the intervention period, as compared with 4.5% of those receiving the brochure. Conclusions. A public health approach to the rare but serious risk of hereditary breast and ovarian cancer can be successful when integrated into the efforts of existing safety net organizations.
AB - Objectives. To determine the effectiveness of a statewide telephone service in identifying low-income women at risk for hereditary breast and ovarian cancer and referring them to free genetic counseling. Methods. From June 2010 through August 2011, eligible callers to California's toll-free breast and cervical cancer telephone service were screened for their family histories of breast and ovarian cancer. High-risk women were identified and called for a baseline survey and randomization to an immediate offer of genetic counseling or a mailed brochure on how to obtain counseling. Clinic records were used to assess receipt of genetic counseling after 2 months. Results. Among 1212 eligible callers, 709 (58.5%) agreed to answer family history questions; 102 (14%) were at high risk (25% Hispanic, 46% White, 10% Black, 16% Asian, 3% of other racial/ethnic backgrounds). Of the high-risk women offered an immediate appointment, 39%received counseling during the intervention period, as compared with 4.5% of those receiving the brochure. Conclusions. A public health approach to the rare but serious risk of hereditary breast and ovarian cancer can be successful when integrated into the efforts of existing safety net organizations.
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U2 - 10.2105/AJPH.2016.303312
DO - 10.2105/AJPH.2016.303312
M3 - Article
C2 - 27552275
AN - SCOPUS:84988036792
VL - 106
SP - 1842
EP - 1848
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 10
ER -